Full Name:

Suburb:

Phone Number:

Email Address:

Please check what is applicable:

I have a Children's Services Certificate / Diploma
I am studying towards a Children's Services Certificate / Diploma
I have a Working with Children's Card
I have a Police Clearance
I have a current First Aid Certificate

Qualifications / Certificates:

I am available to work:

Monday day
Monday evenings
Tuesday day
Tuesday evenings
Wednesday day
Wednesday evenings
Thursday day
Thursday evenings
Friday day
Friday evenings
Saturday day
Saturday evenings
Sunday day
Sunday evenings

Please tell us why you'd like to work with us:

Additional Experience / Comments: